ED affects 50% of men over 50 | Dr. Paul Gittens: The Breakthrough Treatments Your Urologist Isn't Telling You | #138
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Sexual Medicine Secrets: Dr. Paul Gittens Reveals Game-Changing Solutions for ED, Premature Ejaculation, and Intimacy After Cancer
When Lisa first came to Dr. Paul Gittens' office, she hadn't experienced pain-free intimacy in over three years. After breast cancer treatment saved her life, it had also taken away a fundamental part of her relationship with her husband.
"Nobody talked to me about what would happen after chemotherapy," she explained, fighting back tears.
Lisa's story represents thousands of patients seeking help at Dr. Gittens' sexual medicine practices in Philadelphia, Allentown, and Manhattan. People fly from as far as Dubai and across Europe to see this pioneering sexual medicine specialist and board-certified urologist who's transforming the treatment landscape for both men and women.
In a revealing episode of Sex Reimagined Podcast, hosts Leah Piper and Dr. Willow Brown sat down with Dr. Gittens to discuss the groundbreaking treatments that mainstream medicine often overlooks or misunderstands.
The Silent Epidemic No One's Discussing
Sexual dysfunction affects millions of Americans, yet most suffer in silence. According to statistics shared by Dr. Gittens, erectile dysfunction impacts approximately 50% of men by age 50, with cases expected to reach 322 million worldwide by 2025.
"When I was a urologist starting out, nobody cared about sexual function at all," Dr. Gittens revealed during the interview. "Nobody talked to men about what happens after prostate cancer or radiation to the pelvis. Nobody talked to women about sexual health after they've gone through chemotherapy."
This glaring gap in care drove Dr. Gittens to create specialized practices addressing sexual dysfunction comprehensively through a blend of medical treatments, physical therapy, and psychological approaches.
Beyond the Blue Pill: Revolutionary Treatments Explained
The podcast explores several cutting-edge treatments that are changing lives:
- Delayed Ejaculation Solutions: Unlike premature ejaculation which is more common in younger men, delayed ejaculation tends to affect men as they age. Dr. Gittens achieves a remarkable 40% success rate treating this condition—when most practices see just 5%. His approach includes hormone optimization, neurological testing, pelvic floor assessment, and sometimes vibration therapy.
- Penis Pumps: Dr. Gittens is a fan of penis pumps, not just for erections but for improving underlying erectile tissue health, especially for men recovering from prostate surgery.
- Natural-Looking Enhancement: For men seeking girth enhancement, Dr. Gittens uses fillers that last 1-3 years and look completely natural, always aiming for realistic results.
- The Mona Lisa Touch Revolution: For women experiencing vaginal atrophy, particularly after cancer treatments, Dr. Gittens uses the CO2 fractional Mona Lisa laser to regenerate tissue, improve lubrication, and reduce pain during intercourse—all without hormones.
- FemTensity for Enhanced Sensation: This breakthrough uses low-intensity shockwave therapy to increase blood flow and nitric oxide levels in the clitoris, enhancing sensation and orgasmic function.
The Importance of Personalized Care
Throughout the interview, Dr. Gittens emphasizes that sexual dysfunction rarely has a one-size-fits-all solution.
"I wish it was like saying 'the Eagles are gonna win the Super Bowl' and that's it," he jokes. "It would be a lot simpler. But in reality, it's never like that. It always depends on the individual."
His personalized approach involves comprehensive evaluations looking at hormones, nerve function, pelvic floor health, and psychological factors—which explains why his patients experience such high success rates compared to conventional treatments.
Preparing for Perimenopause and Beyond
Women approaching perimenopause can benefit enormously from Dr. Gittens' advice on when to start preparing:
"Understanding what perimenopause means and what signs you have is the first step," he explains. "As women start to have symptoms, they should reach out to someone who understands how to treat them."
He emphasizes the importance of exercise (especially resistance training for bone health), nutrition, vitamin D, and calcium, especially for thinner women who may be at higher risk for osteoporosis.
Hope for Cancer Survivors
Perhaps most moving is Dr. Gittens' work with cancer survivors. His sexual health programs for breast cancer and prostate cancer patients offer hope where traditional medicine often falls short.
By carefully assessing each individual's unique situation and cancer history, he can provide treatments that restore sexual function without compromising cancer care—whether through non-hormonal options, carefully monitored hormone therapy, or specialized physical therapies.
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This groundbreaking conversation covers far more than can be summarized here, including:
- How bioidentical hormones differ from conventional hormone therapy
- The truth about testosterone therapy after prostate cancer
- When pelvic floor therapy can resolve sexual dysfunction
- The emotional impact of sexual health on relationships and quality of life
Listen to the full episode here | Watch the full episode here
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